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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
09:01

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

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FloSeal hemostatic matrix use for intraventricular hemorrhage during a neuroendoscopic procedure

A Reeves1, M Muhonen, W Loudon

  • 1Department of Neurosurgery, University of California Irvine, Orange, California 92868, USA. alreeves@uci.edu

Minimally Invasive Neurosurgery : MIN
|August 25, 2011
PubMed
Abstract

Insights

Neuroendoscopy carries a risk of intraventricular hemorrhage. FloSeal effectively controlled arterial bleeding during a pediatric endoscopic procedure, offering a novel hemostasis option.

Area of Science:

  • Neurosurgery
  • Minimally Invasive Surgery
  • Pediatric Neurosurgery

Background:

  • Neuroendoscopy is expanding, yet significant risks like intraventricular hemorrhage persist.
  • Limited effective hemostasis methods exist for major intraventricular bleeding during neuroendoscopy.

Observation:

  • A pediatric case involved a 5-year-old with hydrocephalus and brainstem compression due to a fourth ventricle cyst.
  • Endoscopic cyst fenestration was performed to relieve pressure.

Findings:

  • Arterial hemorrhage occurred during the neuroendoscopic procedure.
  • The hemostatic agent FloSeal was utilized for emergent bleeding control.

Implications:

  • This case represents the first reported use of FloSeal to manage intraoperative intraventricular hemorrhage.
  • FloSeal may offer a viable solution for hemostasis in complex neuroendoscopic surgeries.

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